ClinicalTrials.gg
Enrolling by invitationNCT05170919Updated Sep 19, 2024

Comparing Olanzapine and Mirtazapine in the Improvement of Unintentional Weight Loss for Patients with Advanced Stage Cancer

A Phase 2 interventional study of Mirtazapine and Olanzapine in Anorexia Nervosa with Significantly Low Body Weight, sponsored by Englewood Hospital and Medical Center. Enrolling by invitation at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-09-19.

Sponsored by Englewood Hospital and Medical Center · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
170
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 173 studies in Anorexia Nervosa with a site in United States — 36 open to participants now, 45 under way, none of them phase 3. Anorexia Nervosa · United States.

Planned enrollment
9th of 142
170 · median 40
Started
2022
with 15 others
Phase 2
20 of 173
5 open now
Primary completion
2026-12
later than 11 of 44 live
Registered
118th of 173
by date

Among the 173 studies in Anorexia Nervosa with a site in United States, this one is the 9th largest by planned enrollment of the 142 interventional ones, is one of 16 that started in 2022, is one of 20 in phase 2, reaches primary completion later than 11 of the 44 other live ones, and was the 118th registered.

By phase

173 studies; the count open now beside each. This study's row is marked.

No phase93 · 24 open
Observational31 · 7 open
Phase 2this study20 · 5 open
Phase 114 · 0 open
Phase 45 · 0 open
Phase 2/34 · 0 open
Phase 34 · 0 open
Phase 1/22 · 0 open

By the year they started

First in 2000; this study’s year is marked. 16 started in 2022.

Size and results

Median enrollment 40 across the 142 interventional studies, 66 across the 31 observational. Of the 122 that completed or were terminated, 34 (28%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 173 studies in Anorexia Nervosa with a site in United States, or all of them as a file.
02

Study summary

To determine whether olanzapine or mirtazapine is more effective in preventing weight loss and appetite loss in cancer patients.

Read the detailed description

Olanzapine and Mirtazapine have been used in the past few years to attempt to prevent weight and appetite loss in cancer patients. Both have mixed study results and none of the previous studies are of high enough quality to make clinical recommendations. With limited options available, palliative and oncology providers turn to these medications with little evidence. There are no formal studies comparing the two to determine if one is superior to the other, so choices are often made based purely on provider preference. We aim to conduct a study to determine if one of the drugs outperforms the other to guide our standard practice at Englewood Health. This study is being conducted to determine whether olanzapine or mirtazapine is more effective in preventing weight loss and appetite loss in cancer patients.

03

Conditions studied

  • Anorexia Nervosa with Significantly Low Body Weight

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04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

    • 18 years of age or older

      • Able to provide
      • Pathologically and/or clinically confirmed diagnosis of advanced cancer
      • At any point of treatment with standard chemotherapy*

        o Scheduled to start, have discontinued or completed, or currently receiving

      • Greater than or equal to 5% unintentional weight loss over the previous 3-6 months, not explained by simple starvation

        o Simple starvation is considered to be excluded when weight loss is not ameliorated by standard nutritional counseling and oral supplementation over a 2-week period).

      • of at least 4 months
      • Able to communicate well and comply with study requirements, including by phone and written logs

        • Patients on Dexamethasone will be allowed

Exclusion criteria

Exclusion Criteria:

    • Abnormal liver function defined as > twice

      • Elevated

        o performed within 1 year of enrollment will be accepted

      • Total parental nutrition (TPN) or enteral feeds (PEG/PEJ) for >70% of their primary source of daily calorie intake
      • Taking Marinol within 2 week of enrollment onto study
Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
170 participants (estimated)

Study arms

  • Experimental
    Olanzapine

    Drug: Olanzapine

  • Experimental
    Mirtazapine

    Drug: Mirtazapine

Interventions

  • Patients will be prescribed a dosage of 15 mg per day. Dose will not be escalated.

  • the participant will be prescribed a dosage of 2.5mg per day if \> 65 yrs. and 5 mg/per day if \<65 yrs. per day. Per physician discretion, participants are allowed a dose escalation of a maximum of 10mg.

06

What researchers measure

Primary outcomes

  1. Weight

    Patients will have their weight measured every month. A ratio of 5% weight gain or weight stabilization over time will be used to determine if the medication is making an impact.

    Time frame: 6 months

Secondary outcomes

  1. Quality of Life of patient

    Patients will complete a quality of life (QOL) questionnaire provided at each time point. The higher the score, the worse the outcome. Patients will rate their improvement on a scale from 0 to 4.

    Time frame: 6 months

07

Study locations

1 site
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Jan 2022 (actual). Primary completion is estimated for Dec 2026, 59 months after the start.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 19, 2021
First posted
Dec 28, 2021
StartActual
Jan 20, 2022
Primary completionEst.
Dec 2026
CompletionEst.
Dec 2026
Last update
Sep 19, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 19, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05170919
Lead sponsor
Englewood Hospital and Medical Center
Responsible party
Sponsor
First posted
Dec 28, 2021
Start date
Jan 20, 2022
Primary completion
Dec 2026 (estimated)
Completion
Dec 2026 (estimated)
Last update
Sep 19, 2024

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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No contact was published for this record. The registry link below has the sponsor’s details.

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Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

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Studies of the drugs tested here: Mirtazapine · Olanzapine

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